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Organization
POSITIVE LIFESTYLES, LLC
Active
Organization
POSITIVE LIFESTYLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE WHEELOCK (OWNER)
(661) 725-7960
Entity
Organization
Contact information
Practice address
302 BALBOA DR, DELANO, CA 93215-4007
(661) 725-7960
Mailing address
PO BOX 849, 302 BALBOA DRIVE, DELANO, CA 93216-0849
(661) 725-7960
(661) 725-6876
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
12-0000428
CA
310500000X
Mental Illness Intermediate Care Facility
Primary
12-0000429
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC80113G
LONG-TERM CARE FACILITY
CA
01
—
LTC80114G
LONG-TERM CARE FACILITY
CA
Enumeration date
01/25/2007
Last updated
05/07/2008
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